Interocular brightness disparity, acuity, and colour vision can be measured in children as young as 3 years old solely through playing a game on a mobile device. Mean and range testing times for Brightness Sense, Colour vision, and Visual Acuity were 32.7 s (range = 12–63 s), 52.8 min (range = 17–95 s), and 88.75 s (range = 41–188 s), respectively. Testing times were brief and exit pleasure responses were positive.
iPad and printed plates Colour vision testing produced identical results. The mean difference between iPad and E-Chart visual acuities with pinhole was 0.02 logMAR with limits of agreement from −0.08 to +0.11 logMAR. Using 20/30 as cutoff for normal acuity, 1 of the amblyopes was detected, and non-amblyopes were excluded by visual acuity pinhole testing. Resultsīinocular brightness balance on the iPad detected amblyopes with 100% sensitivity and specificity. Unilateral amblyopia was later confirmed in two subjects. Acuities and colour vision were tested with tumbling Es and AO-HRR colour plates, respectively. The differential brightness of image pairs was varied through a staircase algorithm until equal brightness was perceived. Subjects looked through polarizing filters and chose the brighter of two spaceships to measure interocular brightness disparity. Two hundred eight subjects (3–14 years) were recruited for a prospective, observational protocol to measure interocular brightness disparity, uniocular acuities with and without a pinhole, and colour vision using an iPad. Can measuring interocular brightness disparity, acuity, and colour vision classify children with amblyopia? Subjects/Methods
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